Jason Goodbrake, CMT, SI

NPI 1710351671 · on the registry since 2015 · sole proprietor

Practice

Address: 1485 Chain Bridge Rd Ste 101
Mc Lean, VA 22101
Phone: (334) 301-2710
Organisation at this address: Maleka Walters Llc
Mindful Healing Group Llc
Sunrise Integrative Wellness
Ashdale Chiropractic Ii, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-11-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia